HomeMy WebLinkAbout2012-HVAC 0 CITY OF OSHKOSH No 154624
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3735 S WASHBURN ST _ _ Owner ZBW, LLC - Create Date 12/13/2012
Contractor MANITOWOC HEATING INC Category 512-Ind.&Comm-Both _ Plan _
Inspector Nicole Krahn
Fuel Gas i ❑-Oil Electric Solar - Solid
System [] New �! -_ _ J
Re lace 1
� p Other
✓ Forced Air u Radian I
-_ — Sm :71 NC J 1 Vent
1 Electric Hot Water
—I � I-Tuppl. 1 [ on.Burner
Chimney Type ChimneyA Chimney B
� Y • Direct Vent 0 Not Applicable
Heat Loss • As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other
Value _
Use/Nature COMM(BIG RIG CHROME SHOP)/NEW HVAC SYSTEM FOR NEW RETAIL BUILDING State Approved Plans,Trans ID#2196608
of Work **check#13177
Fees: Valuations $42,000.00 Plan Approval $0.00 Permit Fee Paid $409.00
S'irntij Issued By: Date 03/05/2013
❑ Permit Voided i Parcel Id#
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address 211 N 10TH ST MANTIOWOC WI 54220 -4611 Telephone Number (920)686-7378
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure (how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services fI
P.O.Box
Oshkosh,WI WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 3'1- ) 3
JOB ADDRESS V) 3 c S. L .S\r•NO,,rn c.
OWNER P.S- R-, C`.ro rv.� 5�Y
CONTRACTOR no.<.`,,k o,...,, ut.. , „
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex ❑Multi-Family ❑Rental )Commercial 0-Industrial
FUEL 'DIG-as ❑Electric ❑Solid SYSTEM ❑New ❑Replace
DOi1 ❑Solar ❑Other
TYPE
tForced Air ❑Radiant ❑Steam ❑A/C OVent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED PliNo ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ®Direct Vent ❑Other
HEAT LOSS ®As Approved ❑Existing ❑Not Applicable
BTU RATE AAs Per Plan ❑Variable ['Other Value
ASCRIPTION/SCOPE OF ALL WORK BEING DONE ,1 lho.1;„C , ,,r, � ') rr ,.■<h ,,,,,,4-
No TJt, nt.(aG}LX �h. k
VALUE (Including labor and materials) $ tic; 0° L
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07